延迟厚皮片植皮法治疗严重皮肤撕脱伤

Delayed Thick Splint Skin Grafting of Defect Following Severe Skin Avulsion

目的 :探讨延迟厚皮片植皮对严重皮肤撕脱伤的治疗效果。方法 :第一次清创术后取下撕脱的皮肤制成厚中厚皮片于普通冰箱内储存 ,2～ 5天内延迟植皮。结果 :植皮成活率达 94 5 % ,皮肤成活后外观好 ,挛缩轻。结论 :延迟厚皮片植皮法治疗严重皮肤撕脱伤效果好 ,利于植皮存活 ,优于即刻植皮。

Objective:To investigate the effects of delayed thick splint skin grafting after severe skin avulsion.Methods:the thick splint skin graft were prepared from the avulsed skin flap and then applied to the defect in two to five days after debridement.Results:Initial take of skin graft averaged 94 5 percent with better appearance and less contracture.Conclusion delayed thick splint skin grafting had satisfied effects and was superior to conventional early grafting.